Individual provider Active NPI

Karen F Smith, OTR/L

  • Occupational Therapist
  • Mount Pleasant, SC
National Provider Identifier
1326123597
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
489 Issued in SC
Practice address
1232 Wynnwood CT
Mt Pleasant, SC 29466-7980
Phone
(843) 856-9467
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 489 SC Primary

Addresses

Primary practice location

1232 Wynnwood CT
Mt Pleasant, SC 29466-7980

Mailing address

1232 Wynnwood CT
Mt Pleasant, SC 29466-7980
Phone (843) 856-9467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200529002933 SC Practitioner - Occupational Therapist in Private Practice 3476974403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acker Physical TherapyGroup PAC ID 8325381411, 9 clinicians

Practice addresses (Care Compare)

144 Leisure LN
Suite 100
Columbia, SC 29210-4156
Phone (803) 708-3950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
489SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Acker Physical Therapy CurrentSince Feb 1, 2020 Accepting new patients

Locations

144 Leisure Ln
Ste 100
Columbia, SC 29210
Phone (803) 708-3950

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326123597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 WYNNWOOD CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667980",
            "telephone_number": "843-856-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 WYNNWOOD CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667980",
            "telephone_number": "843-856-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAREN",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.